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Journal : Surabaya Biomedical Journal

Demam Berdarah Dengue dengan Perdarahan Spontan Anas, Muhammad; Firsiyanti, Aty; Fitria, Yusian Eri; Silkviana, Hassita Nadia; Abbas, Putri Naula; Azayyana M.S, Alshafiera; Frando G.E, Moch; Haniifah, Ulaa
Surabaya Biomedical Journal Vol 3 No 1 (2023): September 2023
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v3i1.54

Abstract

Abstrak Pendahuluan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu infeksi yang sering terjadi di negara tropis utamanya Indonesia dan banyak menyebabkan kematian. DHF merupakan bagian dari Infeksi Virus Dengue yang mmkiliki klasifikasi lain. Tanda klinis DHF adalah demam tinggi, penurunan trombosit dan leukosit, bisa atau tidak ditemukan adanya perdarahan spontan. Laporan Kasus: Pasien anak laki – laki usia 15 tahun rujukan dari PKU Sumberaji dengan keluhan demam, keringat dingin, BAB lembek, mimisan, mual muntah dan nyeri kepala. Pembahasan: Dengue Hemorrhagic Fever (DHF) merupakan salah satu bagian dari Infeksi Virus Dengue yang disebabkan oleh virus DEN 1-4, vectornya adalah nyamuk Aedes Aegypti. Manifestasi klinis dapat berbeda – beda tiap klasifikasinya, kesamaan hanya ada di keluhan demam tinggi. Klasifikasi lain bisa berupa Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. Klasifikasi ini juga digunakan untuk menentukan terapi dan prognosis penyakit Kata kunci: Demam, Dengue Fever, Infeksi Virus Dengue, Dengue Hemorrhagic Fever. Abstract Introduction: Dengue Hemorrhagic Fever (DHF) is an infection that often occurs in tropical countries, especially Indonesia and causes many deaths. DHF is part of Dengue Virus Infection which has another classification. Clinical signs of DHF are high fever, decreased platelets and leukocytes, spontaneous bleeding may or may not be found. Case Report: A 15-year-old male patient referred from PKU Sumberaji with complaints of fever, cold sweat, loose bowel movements, nosebleeds, nausea, vomiting and headaches. Discussion: Dengue Hemorrhagic Fever (DHF) is a part of Dengue Virus Infection caused by the DEN 1-4 virus, the vector of which is the Aedes Aegypti mosquito. Clinical manifestations can be different for each classification, similarities are only in complaints of high fever. Another classification can be Undifferentiated Fever, Dengue Fever, DHF grade 1-IV, Dengue Shock Syndrome. This classification is also used to determine therapy and disease prognosis Keyword: Fever, Dengue Fever, Dengue Virus Infection, Dengue Hemorrhagic Fever
SINDROMA NEFROTIK RELAPS DENGAN ANEMIA PADA ANAK Firsiyanti, Aty; Nabiila, Alyaa; Millenia, Hava Ayu
Surabaya Biomedical Journal Vol 3 No 3 (2024): Mei 2024
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/sbj.v3i3.139

Abstract

Introduction: Nephrotic syndrome is a kidney disease characterized by edema, hypoalbumin, hyperlipidemia, and massive proteinuria. The prevalence in children ranges from 2-7 cases per 100,000 children under 18 years of age and most experience relapse. The prognosis for nephrotic syndrome in which it relapses will increase the risk of other complications. Case report: A 4-year-old boy was diagnosed with nephrotic syndrome characterized by anasarca edema, hypoalbumin, hypercholesterolemia, and massive proteinuria. The patient was included in the relapsed nephrotic syndrome category because he had previously been diagnosed with nephrotic syndrome and had experienced remission. Currently, the therapy that has been given consists of bed rest, fluid restriction, administration of the diuretic furosemide and administration of the oral steroid prednisone again. In addition, the patient experienced anemia due to complications from nephrotic syndrome and a PRC transfusion was planned. Discussion: Nephrotic syndrome is a kidney disease that often occurs in children. The prevalence is 15 times more common in children than adults. As many as 60-70% will experience a relapse. Relapsing nephrotic syndrome requires longer duration of corticosteroid therapy. Anemia is one of the complications in relapsing nephrotic syndrome.